Discussion
Penetrating chest trauma and myocardial contusion can lead to cardiac rupture, which cause high mortality rate (1-4). Most of the patients with cardiac trauma die at the site of the accident.
Coronary artery injury is uncommon usually considered deadly (6).
Due to its location, LADA is the most commonly injured coronary artery (7).
Our case report shows that heart injury might be complex, even in follow up. And any emergency repair might have consequences, such as ligating of a coronary artery by sutures, especially in non-equipped facilities.